Re: Admitting labs, wasTocolytics
From: Joanne Bulley, MD (islesannie@yahoo.com)
Mon Jun 13 20:33:25 2005
I agree with you ... but some of the hospitals that have mostly
medicaid want / need the highest possible DRG find they get paid more if
they have the H/H showing the degree of drop in H/H ... So there are
definitely places where the lab test is ordered just for the fact that
it will increase reimbursements on some patients ...
Joanne
At Mon, 13 Jun 2005, Elrod Darryl G MAJ 48 MDOS/SGOBO wrote:
>
>I go with the flow and order a new CBC on admission. What I refuse to
>do is order a 'routine' postpartum CBC on vaginal deliveries. What a
>waste of time and money. They are ALL anemic and if they have any
>significant bleeding that requires treatment, you'll recognize it and
>then order a CBC.
>
>Glen
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne
>Bulley, MD
>Sent: Sunday, June 12, 2005 2:04 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Admitting labs, wasTocolytics
>
>They hospital may get paid more (a higher DRG) IF there is a drop in the
>HGB pre and post partum ... other than that I don't think you need to
>do them again. It would not likely alter care anyway - and I do believe
>in not ordering a lab test unless it is part of your decision making for
>the current level of care.
>
>Joanne
>
>At Sat, 11 Jun 2005, RModugno@aol.com wrote:
>>
>>In a message dated 6/11/2005 4:59:48 PM Eastern Standard Time,
>igold@cox.net
>>writes:
>>
>>OK, so this is a good question. Earlier in the week, I'm admitting my
>first
>>patient since bieng credentialed. The nurse asks me which labs I want,
>CBC,
>>type and screen? I look at the chart and see that the patients labs
>were done
>>in the lab at this hospital, so it would seem repeating the type
>uneccessary.
>>Last Hgb 11.6 at 36 weeks, hospital lab. What would I do with a new
>result
>>anyway, other than shrug. So what do you all do, recommend? (I told
>her to
>>defer labs)
>>
>>Ingrid Gold, CNM
>>Phoenix
>>
>>In our hospital - anesthesia will NOT place an epidural if they do not
>have
>>a current platelet count. We therefore do a Heme 8 and also an
>rpr(trird
>>trimester reqd by state law if not already done)
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, Ga
>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>
--
Joanne Bulley, MD
Keene, NH, USA
|
|
